PAUL AUSTIN FREDRICKSON M.D.
NPI 1922098771
Psychiatry & Neurology, Psychiatry in Jacksonville,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 24, 2005

Contact Information

4500 San Pablo Rd S
Jacksonville,
Post Code: 32224
Phone: (904) 953-2000
Fax: -

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Paul Austin Fredrickson M.d. in Jacksonville - Psychiatry & Neurology, Psychiatry

Paul Austin Fredrickson M.d. is a Psychiatry & Neurology, Psychiatry in Jacksonville, . Paul Austin Fredrickson M.d. practices all healthcare services and medical treatments related to Psychiatry & Neurology, Psychiatry. The NPI Number for Paul Austin Fredrickson M.d. is 1922098771. The last update date is 2013-01-21.

Paul Austin Fredrickson M.d.'s current location address is 4500 San Pablo Rd S, Jacksonville, . You can contact this provider via phone number (904) 953-2000 and fax number -. The mailing address for Paul Austin Fredrickson M.d. is 4500 San Pablo Rd S, Jacksonville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1922098771
Provider Name
PAUL AUSTIN FREDRICKSON M.D.
Gender
Male
Entity Type
Individual
Location Address
4500 San Pablo Rd S, Jacksonville,
Location Phone
(904) 953-2000
Location Fax
-
Mailing Address
4500 San Pablo Rd S, Jacksonville, Florida(FL)
Mailing Phone
904-953-2000
Mailing Fax
-
Enumeration Date
2005-10-24
Last Update Date
2013-01-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
ME74792
License State
Florida (FL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

ME74792 (Florida)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
05863 Other (non-Medicare) (01) Florida (FL) BlueCross/BlueShield
700005994 Other (non-Medicare) (01) Florida (FL) Railroad Medicare

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922098771
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29420916714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 29420916714
2 + 9 + 4 + 2 + 0 + 9 + 1 + 6 + 7 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1 1

The NPI number 1922098771 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922098623 WARNER OLDENBURG
Individual
Surgery, Vascular Surgery 4500 SAN PABLO RD S
JACKSONVILLE, Florida (FL)
1922098441 FRANK EDWARD SCHIAVONE
Individual
Dermatology 1551 RIVERSIDE AVE
JACKSONVILLE, Florida (FL)
904-354-4488
1922098417 ROBERT L QUIGLEY
Individual
Pediatrics 133 BENMORE DRIVE.
WINTER PARK, Florida (FL)
407-646-7070
1922098243 WILLIAM J. HALLERAN
Individual
Radiology, Diagnostic Radiology PO BOX 660
CLEARWATER, Florida (FL)
727-793-9300
1922098045 ALAN L BROWN
Individual
Radiology, Radiation Oncology 15681 NEW HAMPSHIRE CT
FORT MYERS, Florida (FL)
239-437-1977